Hand 2 Flashcards
Describe pathology of Boutonniere deformity
Staging and management.
Describe Swan Neck pathology.
Staging and management.
Describe the RA thumb deformity and management.
Describe some management of complex RA deformities.
Dupuytren’s
List Stages and cell type
Theories
Dupuytren’s
Epi & Risk factors?
Diathesis?
Dupuytren’s
Pathologic cords
Unaffected cords
Dupuytrens
Indications and techniques
Dupuytren’s
How to address PIP and post op
Dupuytren’s Complications
Describe sagital band anatomy
Describe Claw deformity
TRL & ORL
Origin and insertion
Explain function
How many extensor zones.
Explain Bunell test.
Mallet classification
How do you manage <50% >50%
For less than 50%. Splint 7-10 then AROM
Greater than 50% Repair and splint like mallet 6/6.
How would you manage a Type 3 mallet (ST loss)
Mallet is now chronic. How can you manage?
- Patient presents with Boutonniere (zone 3). Outline management.
- Outline fightibite management.
Laceration to forearm with extension deficit. How will you manage tendon lac in zone 6-9.
Explain draw reconstruction of zone 3.
Patient with inability to extend fingers?
Options for management
Extrinsic Tightness
What would you look for on PE.
Stoke patient presents with difficulty with hand.
How do you test for intrinsic tightness.
Treatment?
Patient comes in with chronic mallet.
Management &
What are the options to reconstruct?
Patient comes with inability to extend. Diff describe PE.
You find patient can hold in extension. Outline treatment plan.
Describe pathophysiology of boutoniere deformity.
How is this different than pseudo boutonniere?
Patient has boutoniere deformity.
Your exam reveals Burton Stage 2 Boutonniere.
Describe stage and your approach to treatment.
Describe Operative Boutonniere Correction
Describe surgical steps to Curtis Boutonniere algorthim.
Describe pathology of swan neck deformity.
Patient comes with hyper extended pip and flexed DIP.
Describe staging and treatment.
